Portejas Corp

LBN: Portejas Corp
Portejas Corp is an health care organization with primary practice located at 4207 Bergenline Ave , Union City NJ 07087-4896. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Portejas Corp can be contacted via phone (201) 867-6705, or through Portela, Lucia via phone (201) 867-6705.

Contact Information

Primary practice address
4207 Bergenline Ave Union City NJ 07087-4896
Phone: (201) 867-6705
Fax: (201) 867-3758
Website:
Map and Directions
Authorized official contact:
Name: Portela, Lucia
Phone: (201) 867-6705

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00542500 New Jersey

Profile Details

NPI number 1366527657
LBN Legal business name Portejas Corp
DBA Doing business as
Authorized official Portela, Lucia
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Nov 16th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366527657 NPPES
Other 2056801 PK
MEDICAID 7305001 PK

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